Screening mixed depression and bipolarity in the postpartum period at a primary health care center

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dc.contributor.authorCelik, Sercan Bulut
dc.contributor.authorBucaktepe, Gamze Erten
dc.contributor.authorUludag, Aysegul
dc.contributor.authorBulut, Ibrahim Umud
dc.contributor.authorErdem, Ozgur
dc.contributor.authorAltinbas, Kutsat
dc.date.accessioned2024-04-24T16:11:08Z
dc.date.available2024-04-24T16:11:08Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractIntroduction: Mixed depression is a clinical condition accompanied by the symptoms of (hypo)mania and is considered to be a predictor for bipolar disorder. Compared to pure major depression, mixed depression is worse in progress. There are limited data on the prevalence of mixed depression since it is a relatively new entity. Therefore, the present study aimed to investigate the prevalence of mixed depression during the postpartum period which is risky for mood disorders. Methods: The study included 63 postpartum women. The participants were administered Beck Depression Scale, Edinburgh Postnatal Depression Scale (EPDS), Mood Disorders Questionnaire (MDQ), and Modified Hypomania Symptom Checklist-32 (mHCL-32). Results: The MDQ scores of the women with expected depression according to the EPDS cut-off scores, were significantly higher than the women with lower EPDS scores (t = 4.968; p < 0.001). The modified hypomania scores were significantly higher in the women with higher depression scores compared to the women under EPDS cut-off scores (t = 4.713; p < 0.001). According to the EPDS and BDS results, 27 (42.9%) and 14 (22.2%) women needed additional clinical examination for depression, respectively. In addition, 3 (4.8%) women require additional clinical examination for bipolar disorder. The scores for the first item of MDQ were above the cut-off value in 11 (17.5%) women. According to the mHCL-32 results, 50 (79.4%) women had at least 1 symptom, 45 (71.4%) women had at least 3 symptoms, and 43 (68.3%) women had at least 5 symptoms of mixed depression. Conclusion: Postpartum mixed depression should be promptly diagnosed by using appropriate diagnostic tools, particularly by primary health care physicians. Patients with mixed depression should be closely monitored to avoid manic switch. (C) 2016 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.comppsych.2016.07.013
dc.identifier.endpage62en_US
dc.identifier.issn0010-440X
dc.identifier.issn1532-8384
dc.identifier.pmid27632572
dc.identifier.scopus2-s2.0-84987670193
dc.identifier.scopusqualityQ1
dc.identifier.startpage57en_US
dc.identifier.urihttps://doi.org/10.1016/j.comppsych.2016.07.013
dc.identifier.urihttps://hdl.handle.net/11468/15284
dc.identifier.volume71en_US
dc.identifier.wosWOS:000386642900008
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofComprehensive Psychiatry
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleScreening mixed depression and bipolarity in the postpartum period at a primary health care centeren_US
dc.titleScreening mixed depression and bipolarity in the postpartum period at a primary health care center
dc.typeArticleen_US

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